Title Page
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Document No.
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Building Name
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Building Prefix
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Building Address
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Type of building
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Site photograph
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Conducted on
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Prepared by
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Location
Water Hygiene
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Is there a water Hygiene log book onsite
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Is a copy of the Water Hygiene Risk Assessment available
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Have all remedial actions identified in the WHRA been completed
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Has the flushing of infrequently used outlets been recorded (SS4B2)
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Have outlet water temperatures been recorded in the logbook (SS4B2)
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Are shower clean and disenfect records in the log book
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Are cold water storage tank inspection records in the log book
Fire Safety
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Is there a Fire Safety Log book available
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Is a Fire Risk Assessment for the site available and in the log book
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Are the remedial actions identified in the FRA closed and evidence available
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Has an annual FRA been completed (SS4B2)
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Are fire alarm service records available and up to date
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Are the fire extinguishers serviced (check atleast 2 onsite)
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Are fire drills being completed and recorded in the fire log book (SS4B2)
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Are any panic alarms being tested and recorded (SS4B2)
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Is bomb alert testing being completed and recorded
Electrical
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Is there an Emergency Lighting Log book available
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Are monthly emergency light checks being completed and recorded in the log book
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Have remedial works been identified, recorded and completed
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Has an annual discharge test been completed and certificate available
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Has electrical lightning conductor testing been completed and records available
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Has portable appliance testing been completed (SS4B2)
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Has the fixed wiring test (5 yearly) been completed
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Have remedial actions identified on the 5 yearly FWT been completed
Lifts
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Are lift inspections up to date (3 month / 6 month / annual) are records available
F Gas
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Is there an F Gas log book available
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Are air con service records available and up to date
Fabric and Other
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Is there an Asbestos Risk Assessment available onsite
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Have all remedial actions identified on the Asbestos Risk Assessment been completed
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Has an annual Asbestos Review been completed (SS4B2)
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Are site risk assessments: Parts 1, 2 & 3 available (SS4B2)
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Are statutory notice boards (evacuation and fire signage) correct (SS4B2)
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Is the relevant building Energy Certificate displayed (buildings over 500m2)
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Is there a nominated first aider onsite (SS4B2)
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Are there Fire Wardens in place (SS4B2)
Audit Completed
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Auditor
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Site Responsible Person